How can we make complex feeding decisions in stroke easier?
Author(s)
Schwartz, Maria
Coccetti, Anne
Cardell, Elizabeth
Kalapac, Naomi
Lovaszy, Rachel
Griffith University Author(s)
Year published
2019
Metadata
Show full item recordAbstract
Background
Dysphagia (difficulty swallowing) is a common post-stroke complication, reported to affect almost half of stroke survivors. The management of dysphagia, particularly severe post stroke dysphagia, can be complex and fraught with ethical complexity.
Aims
The aim of this project was to utilise a formal quality improvement cycle to demonstrate and evaluate the introduction of a decision-making support tool and framework for complex dysphagia decision making to support and guide speech pathologists.
Methods
A quality improvement framework was applied to the development and evaluation of decision support tools for ...
View more >Background Dysphagia (difficulty swallowing) is a common post-stroke complication, reported to affect almost half of stroke survivors. The management of dysphagia, particularly severe post stroke dysphagia, can be complex and fraught with ethical complexity. Aims The aim of this project was to utilise a formal quality improvement cycle to demonstrate and evaluate the introduction of a decision-making support tool and framework for complex dysphagia decision making to support and guide speech pathologists. Methods A quality improvement framework was applied to the development and evaluation of decision support tools for complex feeding. The decision support tools included introduction of standardised terminology, decision making flow charts, consent forms, patient and staff education resources and work place instructions Results Evaluation of the tools showed that they were well received by the speech pathologists and broader hospital staff. Presentation of case examples will highlight the utilisation and benefits of decision making tools in the stroke population. Conclusion/Discussion Decision making support tools in the area of complex dysphagia management were well received by clinicians and rapidly implemented. These tools may assist the multi-disciplinary team to make complex decisions which are medico-legally sound and in the best interest of the patients.
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View more >Background Dysphagia (difficulty swallowing) is a common post-stroke complication, reported to affect almost half of stroke survivors. The management of dysphagia, particularly severe post stroke dysphagia, can be complex and fraught with ethical complexity. Aims The aim of this project was to utilise a formal quality improvement cycle to demonstrate and evaluate the introduction of a decision-making support tool and framework for complex dysphagia decision making to support and guide speech pathologists. Methods A quality improvement framework was applied to the development and evaluation of decision support tools for complex feeding. The decision support tools included introduction of standardised terminology, decision making flow charts, consent forms, patient and staff education resources and work place instructions Results Evaluation of the tools showed that they were well received by the speech pathologists and broader hospital staff. Presentation of case examples will highlight the utilisation and benefits of decision making tools in the stroke population. Conclusion/Discussion Decision making support tools in the area of complex dysphagia management were well received by clinicians and rapidly implemented. These tools may assist the multi-disciplinary team to make complex decisions which are medico-legally sound and in the best interest of the patients.
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Conference Title
International Journal of Stroke
Volume
14
Issue
1_suppl
Subject
Clinical sciences
Neurosciences
Nutrition and dietetics not elsewhere classified
Other health sciences
Dysphagia
Science & Technology
Life Sciences & Biomedicine
Clinical Neurology
Peripheral Vascular Disease